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Impaired Neurovisceral Integration of Cardiovascular Modulation Contributes to Multiple Sclerosis Morbidities

Molecular Neurobiology volume 54, pages 362–374 (2017)Cite this article

Abstract

Multiple sclerosis (MS) is an inflammatory demyelinating central nervous system (CNS) disease with an uncertain etiology. MS is heterogeneous, involving multiple clinical pathologies, including neurodegeneration, depression, fatigue and sleep disorders, migraine, osteoporosis and cerebral hemodynamic impairments. The underlying causes of these pathologies remain mostly unknown. Based on the accumulating evidence derived from our studies and those of other investigators, we propose that the dysregulation in the neurovisceral integration of cardiovascular modulation can lead to many MS-related clinical symptoms. We show that MS inflammatory and neurodegenerative processes are intertwined with the aforementioned clinical morbidities and are collectively the manifestations of cardiovascular autonomic nervous system (ANS) dysfunction. The strategies for improving sympathovagal balance would likely prevent and minimize many MS-related clinical symptoms, improving patients’ quality of life. Similar strategies could be applied to other autoimmune and neurodegenerative diseases where autonomic imbalance plays a role.

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Acknowledgments

The author thanks Prof. Bernhard Schaller for the intellectual input.

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  1. Department of Neurology, Stroke Center, Buffalo Medical Center, 100 High St., Buffalo, NY, 14203, USA

    Zohara Sternberg

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Sternberg, Z. Impaired Neurovisceral Integration of Cardiovascular Modulation Contributes to Multiple Sclerosis Morbidities. Mol Neurobiol 54, 362–374 (2017). https://doi.org/10.1007/s12035-015-9599-y

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Keywords

  • Blood pressure
  • Cerebral autoregulation
  • Cerebral blood flow
  • Dysautonomia
  • Inflammation
  • Internal jugular vein
  • Hypoxic ischemia
  • Heart rate variability
  • Neurodegeneration
  • Vascular remodeling
  • Trigeminocardiac reflexes
  • Vitamin D